Revue médicale de Liège
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Revue médicale de Liège · Dec 2008
Review[Is it possible to integrate frailty of old person, in surgical procedure?].
Frailty in the elderly is an important factor of morbidity, particularly in the setting of surgery. The various pathologies that can lead to a functional decline are well known. The risk of mortality and morbidity should be assessed as a function of the nature of the surgical procedure and of the disease for which it is required; the factors of severity, the predictable duration of the procedure, and the expected blood losses must also be taken into account. ⋯ Frailty must be integrated into the risk assessment; however, further studies are needed to better determine the impact of that new concept. Undoubtedly, the cognitive and nutritional status are of main importance. A better knowledge of the risks should lead to validate specific interventions that could help to prevent surgical complications, shorten the length of hospital stay, and protect the self-sufficiency of the aged.